Individual
JENNIFER BRISENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3745 LONG BEACH BLVD, LONG BEACH, CA 90807-3340
(866) 523-4268
Mailing address
12108 HAYFORD ST, NORWALK, CA 90650-6612
(562) 569-0182
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
225400000X
Rehabilitation Practitioner
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
10/21/2020
Last updated
06/15/2023
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